Janet M Farrelly, is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in St Augustine, Florida. Her current practice location is
242 Basque Rd, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at
(845) 395-6671.
Janet M Farrelly is licensed to practice in Florida (license number 9494357) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174099550.
Provider's Profile
| Full Name | Janet M Farrelly |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 242 Basque Rd, St Augustine, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174099550
- Provider Enumeration Date: 10/23/2018
- Last Update Date: 10/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 5991130809
- Enrollment ID: I20200123002000
Medical Identifiers
Medical identifiers for Janet M Farrelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174099550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 9494357 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Janet M Farrelly allows following entities to bill medicare on her behalf.
| Entity Name | Florida Counseling Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821584202
PECOS PAC ID: 0840544789
Enrollment ID: O20181113002093 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janet M Farrelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Janet M Farrelly,
242 Basque Rd,
St Augustine, FL 32080-7303
Ph: (184) 539-5667 | Janet M Farrelly,
242 Basque Rd,
St Augustine, FL 32080-7303
Ph: (845) 395-6671 |
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